Organization
LIFETIME WELLNESS OF BOULDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA FRIEDHOFF D.C. (CEO)
(303) 374-4856
Entity
Organization
Contact information
Practice address
2800 FOLSOM ST, SUITE D, BOULDER, CO 80304-3738
(303) 374-4856
Mailing address
PO BOX 4206, BOULDER, CO 80306-4206
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
6715
CO
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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